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Home My WebLink About9477-z zoBaa xo. a TOWN OF SOUTMOLD 6UII.DING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, M Y. WILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9477 Z Date .............................Sept.......2Q....., 19'J.?.... Permission is hereby granted to: . T~•r#~..~o~••~wei~e••~:o•...~IC..A~rtssa....Abadiotakia Nst t 3•L•uDk......................................... ro ...erect...sad...maisiZalu..fencing..as...r..ex...a:.~~;1.i~at3.ors...gfa9t/.~'.tt . at premises lacotad at ..~aJxl..tinsd ...........................................~tA,9~i..~'i~1931.....~.r.3~r............................................................................. pursuant ro application dated ...............,.........Scpt....~0............, 19.~~.., and approved by the Building Inspector. Fee 3• ~•~..pp........... V"` Building Inspector ~ ~ ~a,...±~~ FOBM NO. Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. cep , Examined 'V- 19~~`.. Application No b3 ` G _ 19...,... Permit No. oa Disapproved a c . ...............r.., y ~ --P-. r (Building Inspector) APPLICATION FOR BUILDING PERMIT ~ Y.+ Date ..........Se.ptember..29.t......., 19..7.7..... Ul INSTRUCTIONS a. This application must be completely filled in by typewriter or. in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of tot and of buildings on premises, relationship to adjoining premises or public streets o~ areas, and giving o detailed description of layout of property must be drawn on the diagram which is part of this application. \t c. The work covered by this application may not be commenced before issuance of Building Permit. U ~ d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit ~ shall be kept on the premises available for inspection throughout the work. J ' e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy j shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or { Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. .............~':4~~N..k:Q1i~i..k:k~~i~E...CQ..,...Zh7C......................... j (Signature of applicant, or name, if a corporation) ' . Rte •...2.7Ar.. Mattituek,... N.,...X.,..................... (Address of applicant) ' , ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. contractor i f Name of owner of premises ..f3.us.3A...Abada.A.tal~is 1t applicant is a corporate, signature of duly authorized officer. S. .1?.8S'S'.~..C.Arifl ~0 0C7 3 5~ " ~ - y (Name and title of corporate officer) 3'~i ~,ax Builder's License No. .....~..'..1.:.~1 Tn~ Lr~.r~z .J"- 8y Plumber's License No . ~ Electrician's License No . ~ Other Trade's License No 5 e 1. Location of land on which proposed work will be done. Map No of o....................... Street and Number .Main...Rd...,..... i%~STJ.7.~9a,~.:......... - Mu ci ality 2. State existing use and occupancy of premises and intended use and,occuponcy of proposed construct n a. Exisiting use and occupancy ....P.I7.8.°~:flYU7.~y...s~.i+i6a.li.nLT ...........................................................C b. Intended use and occupancy ....9119.-~.&M7..7.y...d4ifl11J.ZIP f ' o I~ G o J . 3. Nature of work (check which applicable): New Building Addition Alteration . Repair Removal Demolition.................... Other Work ..fAnC.ng,,,,,,,,,,,,,,,,,,,,,,,,..,,, (Description) 4. Estimated Cost ...~.3e.~9~~.Q.~ ...................................Fee .......~.I.S...QO..................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height ............................Number of Stories 8. Dimensions of entire new construction: Front Rear Depth I-)eight Number of Stories 9. Size of lat: Front ...7.'A.tB,]....Qf•...f3..~t,C~.89 Rear Depth 10. Date of Purchase ........................................................Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation : 13. Will lot be regraded Will excess fill be removed from,prer~'tdses: ( )Yes (a~~o y~v~ Main 14. Name of Owner ofpremisesF3.tE8.SA..,Abadipt.a2~i8............Address;'irgeti••Ma3xio->•1••~honeNo.7.~.y..:..s'.~.~ Name of Architect Address Phone No.....,................. Name of Contractor Address Phone No....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ,c ~ n r h j , 1 • ~,~i t~ ~ - e Sl"ATE OF NEW YORK, 1 _ COUNTY OF ....S.uPS.olk...........j5.5 i P.BY'ric.027.fl ........................................being duly sworn, deposes and says that he is the applicam ...........................k (Name of individual signing contract) above) named. s He is the Cq?'3.1iX'~.G.tA.X' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his Knowledge and belief; and than the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this r~ v".I.... day of ~../L°.~!:!}~}Y........., 19.7. Notalyy Public . ............~.........a.J.4u~Q..~A...... County ...,.\~~~~!!~'~.Lr.d..lZ.~.:~.................. Cam' (I ature of applicanU ELIZABETH ANN NLNILLB NOTARY PUBLIC, State of New YoiR No. 528125850, Suflalk Cot ' Term Expires March 30, 19